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Ethiopia

Based at the Ethiopia Public Health Institute in Addis Ababa, the IDEAS team worked in four of Ethiopia’s ten regions - Amhara, Oromia, Southern Nations, Nationalities and Peoples and Tigray - to provide a rich source of data for funders, governments and non-governmental organisations working in maternal and newborn health in Ethiopia.

Working with our measurement, learning and evaluation partners and using multidisciplinary research methods, our findings on what works, why and how aims to close the gap in implementation research on how to get life-saving interventions to families at scale.

In Ethiopia, the IDEAS project worked across a range of research areas.

Supporting local decision-making

To enhance the capacity of health systems, quality data needs to be generated and used at the local level for timely course correction, improved health outcomes and the long-term sustainability of health initiatives. Following an Ethiopian feasibility study in 2012 and the experiences of a prototype phase in the state of West Bengal State in India, we developed an intervention to support data-driven decision-making at district level in Ethiopia, supported implementation over a period of 21 months, and used a cluster-randomised controlled evaluation in 24 districts (woreda) in North Shewa zone, which showed strong evidence of improved health information system performance and data-driven decision-making.

 

Understanding quality improvement

Building on our previous work to understand behaviour change at household level in Ethiopia, IDEAS used novel qualitative and quantitative approaches to understand health worker behaviours that drive quality improvement in the provision and utilisation of maternal and newborn health services.

One initiative supporting understanding quality improvement is the Quality of Care Network research (QCN). IDEAS collaborated with a multi-country research project titled: “How does a multi-country, multilateral network focused on specific health care improvements evolve and what shapes its ability to achieve its goals?” (‘QCN project’).  The parent project is led by the UCL Institute for Global Health. Working with the Ethiopian Public Health Institute (EPHI), IDEAS focused on the experience of Ethiopia as part of this larger body of research.

Fostering innovation sustainability

We studied how to scale-up and sustain maternal and newborn health innovations in Ethiopia, northeast Nigeria and Uttar Pradesh in India. We defined ‘scale-up’ as the adoption of donor-funded health innovations beyond original programme districts, and ‘sustainability’ as the longer-term implementation of donor-funded innovations that have been scaled-up.

Community-Based Newborn Care

Community-Based Newborn Care (CBNC) is an Ethiopian national initiative launched in 2013. It brings life-saving care to mothers and newborns at the community level within the Ethiopian health system. IDEAS collaborated with the Ethiopian Federal Ministry of Health and JaRco Consulting to evaluate the CBNC programme through a series of quantitative surveys and qualitative assessments over five years.

 

Published content

Journal article
Contextual factors in maternal and newborn health evaluation: a protocol applied in Nigeria, India and Ethiopia

We define “context” as the background environment or setting of any program, and “contextual factors”as those elements of context that...


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Ethiopia
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General
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India
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Nigeria
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Context
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Evaluation methods
News
Dagu Baseline report released

The Dagu project evaluates the Optimising the Health Extension Program in Ethiopia (OHEP) project that is addressing the critical...


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Ethiopia
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Context
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Evidence for policy and practice
News
Vacancy at IDEAS: Health Research Systems Coordinator

  The Health Systems Research Coordinator will be based in Ethiopia and will work in close collaboration with the country team and...


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Ethiopia
News
Welcome to the new IDEAS website

The IDEAS project aims to improve the health and survival of mothers and babies through generating evidence to inform policy and practice in...


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Ethiopia
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General
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India
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Nigeria
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Community-based newborn care
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Fostering innovation sustainability
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Improving measurement
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Supporting local decision-making
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Tracking progress
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Understanding quality improvement
News
Celebrating a strong partner – JaRco’s 10th Anniversary

In the past 10 years, JaRco’s achievements include conducting high-quality project evaluations in: maternal and newborn health, immunizations,...


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Ethiopia
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Community-based newborn care
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Capacity strengthening
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Evaluation methods
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Research findings
Report
Informed Decisions for Actions in Maternal and Newborn Health 2010–17 Report

  Back in 2009, the Bill & Melinda Gates Foundation in Seattle developed a new strategy for the coming years, outlining how they might achieve...


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Ethiopia
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General
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India
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Nigeria
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Community-based newborn care
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Fostering innovation sustainability
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Improving measurement
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Supporting local decision-making
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Tracking progress
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Understanding quality improvement
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Behaviour change
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Capacity strengthening
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Context
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Economics
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Evaluation methods
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Evidence for policy and practice
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Implementation projects
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Implementation strength
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Intervention coverage
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Local data use
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Research findings
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Scale-up
Blog Post
Taking stock – Seven years of IDEAS

A team of about 20 researchers and professional support staff, employed by the London School of Hygiene & Tropical Medicine, set off to find out...


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Ethiopia
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General
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India
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Nigeria
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Community-based newborn care
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Fostering innovation sustainability
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Improving measurement
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Supporting local decision-making
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Tracking progress
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Understanding quality improvement
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Research findings
News
Reaching women and babies at their time of greatest risk

Birth being the time of greatest risk for the newborn and their mother with minutes deciding over life, death and health, this moment is also one...


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Ethiopia
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General
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Community-based newborn care
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Fostering innovation sustainability
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Research findings
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Scale-up
Past event
Quality of Community Based Newborn Care in Ethiopia

Community-Based Newborn Care (CBNC) is an Ethiopian national initiative launched in March 2013 as a means of bringing life-saving care to mothers...


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Ethiopia
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Understanding quality improvement
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Implementation strength
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Intervention coverage
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Research findings
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Scale-up